K Number
K221673
Device Name
Bonafix TiBase
Manufacturer
Date Cleared
2023-07-14

(400 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Bonafix TiBase abutments are intended for use with dental implants as a support for single-unit or multi-unit prostheses in the maxillary or mandibular arch of a partially or fully edentulous patient.
Device Description
The Bonafix TiBase abutment is composed of two-piece abutment that is a titanium base at the bottom and a zirconia superstructure (CAD/CAM patient specific superstructure) at the top. The dental restoration and mesostructure are fabricated using a CAD/CAM process. The subject device abutment platform diameters range from 3.0 mm to 5.7 mm, and the corresponding compatible implant body diameters also range from 3.3 mm to 7.0 mm. The apical end is prefabricated to match the compatible implant platform and is available with implant connections for crowns (engaging) or bridges (non-engaging). Each abutment is provided with a screw designed to match the compatible implant. The titanium base abutment and screw are manufacturated from titanium alloy conforming to ASTM F136. The superstructure is to be manufactured from zirconia conforming to ISO 13356. The subject devices are provided non-sterile to the end user. All digitally designed superstructures, and/or hybrid crowns for use with Bonafix TiBase abutments are to be sent to a Zentek validated Milling center for manufacture. The zirconia superstructure in straight only and is not to be designed to provide an angle or divergence correction.
More Information

No
The summary describes a physical dental abutment and its manufacturing process (CAD/CAM), with no mention of AI or ML for analysis, diagnosis, or treatment planning.

No.
The device is an abutment for dental implants, used to support prostheses, not to treat a disease or condition.

No
The device is an abutment for dental implants, described as a support for prostheses. Its function is mechanical support, not diagnostic.

No

The device description explicitly states it is a two-piece abutment made of titanium and zirconia, which are physical materials, not software. The summary also details non-clinical testing related to the physical properties and compatibility of the device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the Bonafix TiBase abutments are for use with dental implants as a support for prostheses in the mouth. This is a structural and mechanical function within the body.
  • Device Description: The description details the materials and construction of a dental abutment, which is a physical component used in dental restorations.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment. The device itself is implanted or used to support a structure within the patient's mouth.
  • Testing: The non-clinical testing focuses on biocompatibility, sterilization, compatibility with other dental components, and MRI safety – all relevant to an implanted or physically used medical device, not an IVD.

In summary, the Bonafix TiBase abutment is a dental prosthetic component, not a device used for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

Bonafix TiBase abutments are intended for use with dental implants as a support for single-unit or multi-unit prostheses in the maxillary or mandibular arch of a partially or fully edentulous patient.

Product codes

NHA

Device Description

The Bonafix TiBase abutment is composed of two-piece abutment that is a titanium base at the bottom and a zirconia superstructure (CAD/CAM patient specific superstructure) at the top. The dental restoration and mesostructure are fabricated using a CAD/CAM process. The subject device abutment platform diameters range from 3.0 mm to 5.7 mm, and the corresponding compatible implant body diameters also range from 3.3 mm to 7.0 mm. The apical end is prefabricated to match the compatible implant platform and is available with implant connections for crowns (engaging) or bridges (non-engaging). Each abutment is provided with a screw designed to match the compatible implant.

The titanium base abutment and screw are manufacturated from titanium alloy conforming to ASTM F136. The superstructure is to be manufactured from zirconia conforming to ISO 13356. The subject devices are provided non-sterile to the end user. All digitally designed superstructures, and/or hybrid crowns for use with Bonafix TiBase abutments are to be sent to a Zentek validated Milling center for manufacture. The zirconia superstructure in straight only and is not to be designed to provide an angle or divergence correction.

The design parameters for the fabrication of the restoration on Bonafix TiBase abutments, which are already locked in the EXOCAD CAD/CAM software (K193352), are as follows:

  • Minimum wall thickness 0.43 mm
  • Minimum abutment post height 4.0 mm
  • Maximum post height 6.5 mm
  • Maximum gingival height 5.0 mm
  • Minimum gingival height 0.7 mm
  • Angulation 0°

The recommended cement for bonding the zirconia superstructure to the Bonafix TiBase abutments to create the final two-piece abutment is G-CEM LinkAce™ cleared in K120243.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxillary or mandibular arch

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-Clinical Testing:
Bonafix TiBase underwent evaluation tests based on the following standards:

  • ISO 10993-5 (2014) Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity.
  • ANSI/AAMI/ISO 17665-1 (2006/(R)2 013) Sterilization of health care products — Moist heat — Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices, Annex D.

End User Sterilization Validation Test according to ISO 17665-1.
Engineering and dimensional analysis of original manufactures' components (abutments, implants & abutment screws) for determination of compatibility. A plan for ongoing monitoring to ensure continued compatibility is also implemented.
Additional, Non-clinical worst-case MRI review was performed to evaluate the metallic Bonafix TiBase device in the MRI environment using scientific rationale and published literature (e.g., Woods, Terry O., Jana G. Delfino, and Sunder Rajan. "Assessment of Magnetically Induced Displacement Force and Torque on Metal Alloys Used in Medical Devices." Journal of Testing and Evaluation 49.2 (2019): 783-795), based on the entire system including all variations (all compatible implant bodies, dental abutments, and fixation screws) and material composition. Rationale addressed parameters per the FDA guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetically induced displacement force and torque.

Clinical testing was not required to demonstrate the substantial equivalence of the Bonafix TiBase to its predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K212108

Reference Device(s)

K140934, K153758, K061410, K142260, K153332, K193352, K120243, K133339

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3630 Endosseous dental implant abutment.

(a)
Identification. An endosseous dental implant abutment is a premanufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments” will serve as the special control. (See § 872.1(e) for the availability of this guidance document.)

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

Zentek Medical LLC % Juan Tezak Consultant Compliance 4 Devices 118 W Prive Cr. Delray Beach, Florida 33445

Re: K221673

Trade/Device Name: Bonafix TiBase Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: June 15, 2023 Received: June 15, 2023

Dear Juan Tezak:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

1

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Andrew I. Steen -S

Andrew I. Steen Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K221673

Device Name Bonafix TiBase abutment

Indications for Use (Describe)

Bonafix TiBase abutments are intended for use with dental implants as a support for single-unit or multi-unit prostheses in the maxillary or mandibular arch of a partially or fully edentulous patient.

Compatible Implant SystemImplant Body Diameter (mm)Implant Platform Diameter (mm)
HIOSSEN ET III3.5
4.0, 4.5, 5.0, 6.0, 7.0Mini
Regular
Nobel Active3.5
4.3, 5.0NP
RP
Straumann Bone Level3.3
4.1, 4.8NC
RC
Zimmer Screw-Vent/
Tapered Screw Vent3.3, 3.7, 4.1
4.7
6.03.5
4.5
5.7
Bonafix 2 Plus Implants3.5, 3.75, 4.20, 5.0, 6.03.5

All digitally designed superstructures, and/or hybrid crowns for use with Titanium Base are to a Bonafix validated milling center for manufacture.

Type of Use (Select one or both, as applicable) > Prescription Use (Part 21 CFR 801 Subpart D)

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Bonafix TiBase (K221673) July 14th, 2023 ADMINISTRATIVE INFORMATION Applicant ZENTEK MEDICAL LLC 200 Craig Rd Ste 107 Manalapan, NJ 077268735 Phone: +1 732-2840545 Establishment Registration Number Official Contact Michael Vinnik Owner 200 Craig Rd Ste 107 Manalapan, NJ 077268735 +1 732-2840545 E-mail: mvinnik2@gmail.com Juan Tezak

510(k) Summary

Representative/Consultant

Carlos Marín Compliance4Devices 118 W Prive Cr. Delray Beach Fl, 33445 Phone: +1 561-789-2411 E-mail: compliance4devices@gmail.com

DEVICE AND CLASSIFICATION NAME

Device Trade Name: Common Name: Classification Regulation: Classification Name: Device Classification: Classification Panel: Primary Product Code:

Bonafix TiBase Dental implant abutment 21 CFR 872.3630 Endosseous dental implant abutment Class II Dental Products Panel NHA

PREDICATE DEVICE INFORMATION

Primary predicate K212108, Dynamic Ti-base. Talladium España, SL

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Reference Devices

K140934HIOSSEN ETIII SA. HIOSEEN® Implant
K153758STRAUMANN DENTAL IMPLANT SYSTEM. STRAUMANN USA
K061410Tapered Screw-Vent. Zimmer Dental
K142260Nobel Active conical. Nobel Biocare AB
K153332ETIII SA Fixture System (Ø3.2mm). HIOSEEN® Implant
K193352Abutment CAD. Exocad GmbH
K120243G-CEM LinkAce™. GC AMERICA INC
K133339Zimmer Dental Tapered Screw Vent T Implant, HA Coated; Zimmer Dental
Tapered Screw-Vent M Implant, HA Coated, Zimmer Dental

Intended Use

Bonafix TiBase abutments are intended for use with dental implants as a support for single-unit or multi-unit prostheses in the maxillary or mandibular arch of a partially or fully edentulous patient.

| COMPATIBLE IMPLANT SYSTEM | IMPLANT BODY DIAMETER
(mm) | IMPLANT PLATFORM DIAMETER
(mm) |
|------------------------------------------|-------------------------------|-----------------------------------|
| HIOSSEN ET III | 3.5 | Mini |
| | 4.0, 4.5, 5.0, 6.0, 7.0 | Regular |
| Nobel Active | 3.5 | NP |
| | 4.3, 5.0 | RP |
| Straumann Bone Level | 3.3 | NC |
| | 4.1, 4.8 | RC |
| Zimmer Screw-Vent/
Tapered Screw-Vent | 3.3, 3.7, 4.1 | 3.5 |
| | 4.7 | 4.5 |
| | 6.0 | 5.7 |
| Bonafix 2 Plus Implants | 3.5, 3.75, 4.20, 5.0, 6.0 | 3.5 |

All digitally designed superstructures, and/or hybrid crowns for use with Titanium Base are to be sent to a Bonafix validated milling center for manufacture.

Device Description

The Bonafix TiBase abutment is composed of two-piece abutment that is a titanium base at the bottom and a zirconia superstructure (CAD/CAM patient specific superstructure) at the top. The dental restoration and mesostructure are fabricated using a CAD/CAM process. The subject device abutment platform diameters range from 3.0 mm to 5.7 mm, and the corresponding compatible implant body diameters also range from 3.3 mm to 7.0 mm. The apical end is prefabricated to match the compatible implant platform and is available with implant connections for crowns (engaging) or bridges (non-engaging). Each abutment is provided with a screw designed to match the compatible implant.

The titanium base abutment and screw are manufacturated from titanium alloy conforming to ASTM F136. The superstructure is to be manufactured from zirconia conforming to ISO 13356. The subject devices are provided non-sterile to the end user. All digitally designed superstructures, and/or hybrid crowns for use with Bonafix TiBase abutments are to be sent to a Zentek validated Milling center for manufacture. The zirconia superstructure in straight only and is not to be designed to provide an angle or divergence correction.

5

The design parameters for the fabrication of the restoration on Bonafix TiBase abutments, which are already locked in the EXOCAD CAD/CAM software (K193352), are as follows:

  • Minimum wall thickness 0.43 mm
  • Minimum abutment post height 4.0 mm
  • Maximum post height 6.5 mm
  • Maximum gingival height 5.0 mm
  • Minimum gingival height 0.7 mm
  • Angulation 0°

The recommended cement for bonding the zirconia superstructure to the Bonafix TiBase abutments to create the final two-piece abutment is G-CEM LinkAce™ cleared in K120243.

6

Equivalence to Marketed Device

The subject device is substantially equivalent in inciples to the primary predicate device. Below is a table comparing the indications for use and technological characteristics of the subject device and the primary predicate device.

The subject device is equivalent to the identified primary predicate, with the compatible implant systems for which the reference devices are included and supported by reverse engineering.

The Indications for Use Statement (IFUS) for the subject device is identified primary predicate K212108, with the differences being the compatible implant systems for which the reference devices K14034, K142260, K15332, and K13339 are included and which are supported by reverse engineering.

The other reference devices K120243 and K193352 serve as references for the cement and software used in the design of the Bonafix TiBase abutment restoration.

COMPARISONSUBJECT DEVICEPREDICATE DEVICECOMPARISON
DeviceBonafix TiBase abutment (K221673)
Zentek Medical LLCDynamic Ti-base (K212108).
Talladium España, SL
Intended UseBonafix TiBase abutments are intended for
use with dental implants as a support for
single-unit or multi-unit prostheses in the
maxillary or mandibular arch of a partially or
fully edentulous patient.Dynamic TiBase abutments are intended for use
with dental implants as a support for single-unit or
multi-unit prostheses in the maxillary or mandibular
arch of a partially or fully edentulous patient.Similar
COMPATIBLE IMPLANT SYSTEM IMPLANT BODY DIAMETER (mm) IMPLANT PLATFORM DIAMETER (mm) HIOSSEN ET III 3.5 Mini Nobel Active 4.0, 4.5, 5.0, 6.0, 7.0 Regular 3.5 NP Straumann Bone Level 4.3, 5.0 RP 3.3 NC Zimmer Screw-Vent/
Tapered Screw-Vent 4.1, 4.8 RC 3.3, 3.7, 4.1 3.5 4.7 4.5 6.0 5.7 Bonafix 2 Plus Implants 3.5, 3.75, 4.20, 5.0, 6.0 3.5Implant Compatibility Implant Body Diameter, mm Implant Platform, mm 2.7 3.5 SPI CONTACT Dental Implant 3.5 4.0 3.5 4.5 4.2 5.0

Table 1. Comparison with predicate device for Summary

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COMPARISONSUBJECT DEVICEPREDICATE DEVICECOMPARISON
All digitally designed superstructures, and/or hybrid crowns for use with Titanium Base are to be sent to a Bonafix validated milling center for manufacture.All digitally designed custom abutments for use with Dynamic TiBase abutments are to be sent to a Thommen Medical validated milling center for manufacture.
Abutment
DesignsTitanium Base Engaging
Titanium Base Non-EngagingTitanium Base Engaging
Titanium Base Non-EngagingSame
ProsthesisCement-retainedCement-retainedSame
AttachmentScrew-retainedScrew-retained
Abutment/Implant Platform
Diameter (mm)3.0 – 5.73.5, 4.0, 4.5, 5.0Similar
Abutment
AngleStraight (0°)Up to 30°Different
CAD/CAM Abutment Design Parameters
Minimum post
height, mm4.04.0Same
Maximun post
heigth, mm6.59.0Different
Maximum
gingival height,
mm5.05.83Similar
Minimum
gingival height,
mm0.70.7Same
Wall Minimum
wall thickness0.430.43Same
COMPARISONSUBJECT DEVICEPREDICATE DEVICECOMPARISON
Maximum
abutment
angulationUp to 30°Different
Abutment
attachment to
implantScrewScrewSame
Prosthesis
attachment to
abutmentCement-retained
Screw-retainedCement-retained
Screw-retainedSame
RestorationSingle-unit
Multi-unitSingle-unit
Multi-unitSame
Abutment/
Implant
InterfaceInternal connectionInternalSame
Materials
AbutmentTi-6Al-4V alloy (ASTM F136)Titanium alloy, ASTM F136Same
ScrewTi-6Al-4V alloy (ASTM F136)Titanium alloy, ASTM F136Same
SuperstructureZirconia - ISO 13356Zirconia - ISO 13356Same

8

9

Non-Clinical Testing Summary

Bonafix TiBase underwent evaluation tests based on the following standards:

| ISO 10993-5 | 2014 | Biological evaluation of medical devices - Part 5: Tests for in vitro
cytotoxicity. |
|--------------------------|--------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ANSI/AAMI/ISO
17665-1 | (2006/(R)2
013) | Sterilization of health care products — Moist heat — Part 1: Requirements
for the development, validation and routine control of a sterilization process
for medical devices, Annex D |

Table 2 Standards compliance for Summary

End User Sterilization Validation Test according to ISO 17665-1.

Engineering and dimensional analysis of original manufactures' components (abutments, implants & abutment screws) for determination of compatibility. A plan for ongoing monitoring to ensure continued compatibility is also implemented.

Additional, Non-clinical worst-case MRI review was performed to evaluate the metallic Bonafix TiBase device in the MRI environment using scientific rationale and published literature (e.g., Woods, Terry O., Jana G. Delfino, and Sunder Rajan. "Assessment of Magnetically Induced Displacement Force and Torque on Metal Alloys Used in Medical Devices." Journal of Testing and Evaluation 49.2 (2019): 783-795), based on the entire system including all variations (all compatible implant bodies, dental abutments, and fixation screws) and material composition. Rationale addressed parameters per the FDA guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetically induced displacement force and torque.

Clinical Testing Summary

Clinical testing was not required to demonstrate the substantial equivalence of the Bonafix TiBase to its predicate device.

Conclusion

Based on the information presented in this 510(k), the Bonafix TiBase is considered substantially equivalent to the identified predicate devices.